| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $376.28 | $376.28 | $376.28 | |
Aetna
| Professional | $376.28 | $433.19 | $433.19 | |
BCBS
| Professional | $483.57 | $571.74 | $585.97 | |
Cigna
| Professional | $599.63 | $605.62 | $761.52 | |
Medica
| Facility | $288.33 | $433.19 | $2,756.24 | |
Medica
| Professional | $206.04 | $387.03 | $430.03 | |
United
| Professional | $172.01 | $258.02 | $430.03 |